NPI 1104047208
Clay County Rehabilitation Center, INC.
Practice location
- Address
- 530 W 4th St, Flora, IL 62839-1213
- Phone
- (618) 662-4916
- Fax
- (618) 662-9354
- Mailing address
- 530 W 4th St P.O. Box 659, Flora, IL 62839-1213
Authorised official
- Name
- Gary Whitehead
- Title
- Executive Director
- Phone
- (618) 662-4916
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1104047208
- Entity type
- Organization
- NPI issued
- 2 May 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.